Initial Review

• Checklist for Administrative Review
• Statement of Ethical Commitment and Financial Disclosure
• Processing Fee Waiver Request
• Basic Elements of Informed Consent

Miscellaneous

• Continuing Status Review Form
• IRB Membership Roster
• Processing Fee Waiver Request

HIPAA Forms

Protocol Submission for Initial Review

• Sample PeaceHealth Authorization form (Word document)
• Sample PeaceHealth Authorization form (PDF document)
• Guide to completing the form
• De-identification Certification
• Alteration and/or Waiver of Authorization

Institutional Review Board
1255 Hilyard St., Eugene, OR  97401
541.686.6949 phone - 541.685.1839 fax

Contact us

Home / Forms / Process / Meeting Dates & Deadlines 
Policies & Procedures / Staff / Education

Institutional Review Board

• Forms

• Process

• Meeting Dates & Deadlines

• Policies & Procedures

• Staff/Board Members

• Education

• Approved Studies

• Resource Links